Recall Series (6 Years): Endodontic Surgery after Failed Internal Perforation Repair

Terry Pannkuk, DDS, MScD Complications: Advanced Management, Perforations, Surgical Retreatment, Surgical Exploration, Retreatment Strategies, Recall Observations

Post perforations can be successfully repaired

Patient: 62-year-old female in excellent health

Chief Complaint: Asymptomatic (referred by general dentist to examine all teeth before a full mouth reconstruction)

Dental History: The patient had multiple paste-filled root canals performed in Eastern Europe as a child and young adult. The patient was referred by her general dentist to examine all teeth before beginning a full mouth reconstruction. After and extensive period of provisionalization and root canal retreatment of other teeth, the maxillary right lateral incisor (#7) was noted to develop a periapical radiolucency of increased size. The pulp chamber had been open to the oral environment for an unknown number of years. An implant had recently been placed in the #6 site and there was a concern about infection

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